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Revista Brasileira de Anestesiologia

Fernando R Altermatt, Ghislaine C Echevarría, René F de la Fuente, Ricardo Baeza, Marcela Ferrada, Juan C de la Cuadra, Marcia A Corvetto
BACKGROUND: Perioperative myocardial ischemia is common among patients undergoing hip fracture surgery. Our aim is to evaluate the efficacy of perioperative continuous lumbar plexus block in reducing the risk of cardiac ischemic events of elderly patients undergoing surgery for hip fractures, expressed as a reduction of ischemic events per subject. METHODS: Patients older than 60 years, ASA II-III, with risk factors for or known coronary artery disease were enrolled in this randomized controlled study...
July 14, 2018: Revista Brasileira de Anestesiologia
Ahmet Murat Yayik, Ali Ahiskalioglu, Erkan Cem Celik, Sinan Celik, Akin Inaloz
No abstract text is available yet for this article.
July 13, 2018: Revista Brasileira de Anestesiologia
Basar Erdivanli, Ahmet Sen, Sule Batcik, Tolga Koyuncu, Hizir Kazdal
BACKGROUND AND OBJECTIVES: We compared the efficiency of the King Vision video laryngoscope and the Macintosh laryngoscope, when used by experienced anesthesiologists on adult patients with varying intubating conditions, in a prospective randomized controlled clinical trial. METHODS: A total of 388 patients with an American Society of Anesthesiologists physical status of I or II, scheduled for general anesthesia with endotracheal intubation. Each patient was intubated with both laryngoscopes successively, in a randomized order...
July 10, 2018: Revista Brasileira de Anestesiologia
Rocco D'Andrea, Guido Gambetti, Lorenzo Querci, Beatrice Amodei, Amedeo Bianchini
BACKGROUND AND OBJECTIVES: Ultrasound-guided thoracic paravertebral block is usually considered a good alternative to epidural thoracic for anesthesia and pain control in thoracic and breast surgery. Furthermore it has also been used during abdominal surgery lately, especially hepatic and renal surgery. However, its role is poorly defined in this context. The purpose of this report was to highlight the role of thoracic paravertebral block in providing effective anesthesia and analgesia during both the abdominal surgical intervention and pain control in post-operative period, avoiding possible complications which general anesthesia may arise, which are fairly common in patients with chronic obstructive pulmonary disease and similar comorbidities...
July 5, 2018: Revista Brasileira de Anestesiologia
José Carlos Rodrigues Nascimento, David Silveira Marinho, Rodrigo Dornfeld Escalante, Bodiyabaduge Emmanuel M Daya Pereira Junior, Cristiane Gurgel Lopes, Rogean Rodrigues Nunes
INTRODUCTION: Advanced hepatic disease may - in addition to the widely recognized hemorrhagic complications - occur with thrombotic events. We describe the case of a cirrhotic patient taking warfarin and whose coagulation management during liver transplantation was guided by thromboelastometry (Rotem® ). CASE REPORT: A 56 year-old male patient diagnosed with alcohol cirrhosis using warfarin ( ) for partial portal vein thrombosis with the International Normalized Ratio (INR) of 2...
June 30, 2018: Revista Brasileira de Anestesiologia
Caetano Nigro Neto, Emerson Domingos da Costa, Francisco José Lucena Bezerra, Mariana Suete Guimarães Ruy, Jose Leonardo Izquierdo Saurith, João Henrique Zucco Viesi
BACKGROUND AND OBJECTIVES: Aortic stenosis is the most common type of heart valve disease. Percutaneous aortic valve replacement has become the alternative for patients considered at high risk for surgery. Controlled mechanical ventilation with tracheal intubation has been the choice for this type of procedure, however the use of noninvasive ventilation in cardiac patients has shown to be beneficial. Janus is a novel full-face mask that allows application of noninvasive ventilation support during anesthesia...
June 22, 2018: Revista Brasileira de Anestesiologia
Arzu Yıldırım Ar, Dilek Erdoğan Arı, Yıldız Yiğit Kuplay, Yalın İşcan, Firdevs Karadoğan, Damla Kırım, Fatma Nur Akgün
BACKGROUND AND OBJECTIVE: The use of transversus abdominis plane block with different local anesthetics is considered as a part of multimodal analgesia regimen in laparoscopic cholecystectomy patients. However no studies have been published comparing bupivacaine and levobupivacaine for transversus abdominis plane block. We aimed to compare bupivacaine and levobupivacaine in ultrasound-guided transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy. METHODS: Fifty patients (ASA I/II), undergoing laparoscopic cholecystectomy were randomly allocated into two groups...
June 21, 2018: Revista Brasileira de Anestesiologia
Jimmy L Moss, Benjamin W Brown, Sher-Lu Pai, Klaus D Torp, Stephen Aniskevich
We describe an unusual case of hyperacute hepatic failure following general anesthesia in a patient receiving a simultaneous kidney-pancreas transplant. Despite an aggressive evaluation of structural, immunological, viral, and toxicological causes, a definitive cause could not be elucidated. The patient required a liver transplant and suffered a protracted hospital course. We discuss the potential causes of fulminant hepatic failure and the perioperative anesthesia management of her subsequent liver transplantation...
June 18, 2018: Revista Brasileira de Anestesiologia
Adriene Stahlschmidt, Betânia Novelo, Luiza Alexi Freitas, Sávio Cavalcante Passos, Jairo Alberto Dussán-Sarria, Elaine Aparecida Félix, Patrícia Wajnberg Gamermann, Wolnei Caumo, Luciana Paula Cadore Stefani
INTRODUCTION: Morbidity and mortality associated with urgent or emergency surgeries are high compared to elective procedures. Perioperative risk scores identify the non-elective character as an independent factor of complications and death. The present study aims to characterize the population undergoing non-elective surgeries at the Hospital de Clínicas de Porto Alegre and identify the clinical and surgical factors associated with death within 30 days postoperatively. METHODOLOGY: A prospective cohort study of 187 patients undergoing elective surgeries between April and May 2014 at the Hospital de Clínicas, Porto Alegre...
May 29, 2018: Revista Brasileira de Anestesiologia
Rita Graça, Pilar Miguelez, José Miguel Cardoso, Miguel Sá, Joana Brandão, Célia Pinheiro, Duarte Machado
BACKGROUND AND OBJECTIVES: Quadratus lumborum block was first described in 2007 and currently there are descriptions of its achievement through four different injection points. This blockage provides abdominal wall and visceral analgesia, and one of its mechanisms is the dispersion of the local anesthetic into the paravertebral space. We describe the performance of a continuous quadratus lumborum type II block for postoperative analgesia in a partial nephrectomy. CASE REPORT: A 64-year-old woman, scheduled for partial left laparoscopic nephrectomy...
May 18, 2018: Revista Brasileira de Anestesiologia
Miriam S Menezes, Maria das Graças Mota da Cruz de Assis Figueiredo
BACKGROUND AND OBJECTIVE: Palliative sedation is a medical procedure that has been used for more than 25 years to relieve refractory symptoms not responsive to any previous treatment in patients with no possibility of cure and near the end of life. Many uncertainties persist on the issue regarding definition, indications, decision making, most appropriate place to perform the procedure, most used drugs, need for monitoring, fluids and nutritional support, and possible ethical dilemmas...
May 15, 2018: Revista Brasileira de Anestesiologia
Hyung Mook Lee, Young Jae Jeon, Hye Won Chung, Hyo Min Yun, Mi Hyun Kim
BACKGROUND AND OBJECTIVES: Cardiac tamponade is potentially fatal medical condition, which rarely occurs as a complication of lung lobectomy. We present the first case of cardiac tamponade to develop in a Post-Anesthesia Care Unit following a lung lobectomy. CASE REPORT: A 54-year-old man with pulmonary squamous cell carcinoma underwent an apparently uncomplicated lung lobectomy. His hemodynamics was unremarkable throughout the surgery and initially in the Post-Anesthesia Care Unit...
May 15, 2018: Revista Brasileira de Anestesiologia
Alexandre Almeida Guedes
No abstract text is available yet for this article.
May 12, 2018: Revista Brasileira de Anestesiologia
Igor Maia Marinho, Maria José C Carmona, Fábio Ely Martins Benseñor, Julia Mintz Hertel, Marcos Fernando Breda de Moraes, Paulo Caleb Junior Lima Santos, Matheus Fachini Vane, Jaqueline Scholz Issa
INTRODUCTION: The need for surgery can be a decisive factor for long-term smoking cessation. On the other hand, situations that precipitate stress could precipitate smoking relapse. The authors decided to study the impact of a surgery on the patient's effort to cease smoking for, at least, 24h before hospital admission and possible relapse on the last 24h before hospital admission for ex-smokers. METHODS: Smoker, ex-smokers and non-smokers adults, either from pre-anesthetic clinic or recently hospital admitted for scheduled elective surgeries that were, at most, 6h inside the hospital buildings were included in the study...
July 2018: Revista Brasileira de Anestesiologia
Shweta Sarjerao Mogal, Lipika Baliarsing, Raylene Dias, Pinakin Gujjar
BACKGROUND AND OBJECTIVES: The purpose of this study was to compare the endotracheal tube cuff pressure changes during laparoscopic surgeries using air versus nitrous-oxide in anesthetic gas mixture; and to observe the incidences of postoperative sore throat, hoarseness and dysphagia. METHODS: Total 100 patients scheduled for elective laparoscopic abdominal surgery were allocated into two groups. Group A (n=50) received air while Group N (n=50) received nitrous-oxide in anesthetic gas mixture...
July 2018: Revista Brasileira de Anestesiologia
Gamze Talih, Aliye Esmaoğlu, Adnan Bayram, Cevat Yazici, Kemal Deniz, Tutkun Talih
BACKGROUND: In this study, we aimed to investigate the effect of dexmedetomidine on colistin nephrotoxicity in rats. METHODS: Thirty-two Wistar albino rats were allocated into four groups. Intraperitoneal (ip) saline at was administered to the control group and ip colistin was given to the colistin group. In the DEX10 group dexmedetomidine ip was given 20min before the injection of ip colistin. In the DEX20 group ip 20mcg...
July 2018: Revista Brasileira de Anestesiologia
Sevgi Kesici, Ugur Kesici, Hulya Ulusoy, Pelin Erturkuner, Aygen Turkmen, Oktay Arda
INTRODUCTION: Local anesthetic infiltration is used widely for post-operative analgesia in many situations. However the effects of local anesthetics on wound healing are not demonstrated clearly. This study planned to evaluate the effects of lidocaine, prilocaine, bupivacaine and levobupivacaine on wound healing, primarily on wound tensile strength and on collagen ultrastructure. METHODS: This study was conducted on male Sprague Dawley rats. On days 0, 8th, 15th, and 21st, all animals were weighed and received a preincisional subcutaneous infiltration of 3mL of a solution according the group...
July 2018: Revista Brasileira de Anestesiologia
Anthony M H Ho, Michael P Flavin, Melinda L Fleming, Glenio Bitencourt Mizubuti
BACKGROUND: Selective neonatal left mainstem bronchial intubation to treat right lung disease is typically achieved with elaborate maneuvers, instrumentation and devices. This is often attributed to bronchial geometry which favors right mainstem entry of an endotracheal tube deliberately advanced beyond the carina. CASE SUMMARY: A neonate with severe bullous emphysema affecting the right lung required urgent non-ventilation of that lung. We achieved left mainstem bronchial intubation by turning the endotracheal tube 180° such that the Murphy's eye faced the left instead of the right, and simulated a left-handed intubation by slightly orientating the endotracheal tube such that its concavity faced the left instead of the right as in a conventional right-handed intubation...
May 2018: Revista Brasileira de Anestesiologia
Meltem Cakmak, Isil Kose, Ciler Zinzircioglu, Yucel Karaman, Zeki Tuncel Tekgul, Sinan Pektas, Yelda Balik, Mustafa Gonullu, Pervin Sutas Bozkurt
BACKGROUND: Providing sufficient information during a preanesthetic interview may help improve patient understanding and decrease anxiety related to spinal anesthesia. We investigated the effect of video-based education on anxiety and satisfaction in patients about to undergo spinal anesthesia. METHODS: A total of 198 patients scheduled for minor elective surgery under spinal anesthesia were prospectively enrolled. The State-Trait Anxiety Inventory (State-Trait Anxiety Inventory/State and State-Trait Anxiety Inventory/Trait) questionnaires and visual analog scale were used to measure anxiety levels before the standard anesthesia evaluation was initiated...
May 2018: Revista Brasileira de Anestesiologia
Vilma Mejía, Carlos Gonzalez, Alejandro E Delfino, Fernando R Altermatt, Marcia A Corvetto
INTRODUCTION: The primary purpose of this study was to compare the effect of high fidelity simulation versus a computer-based case solving self-study, in skills acquisition about malignant hyperthermia on first year anesthesiology residents. METHODS: After institutional ethical committee approval, 31 first year anesthesiology residents were enrolled in this prospective randomized single-blinded study. Participants were randomized to either a High Fidelity Simulation Scenario or a computer-based Case Study about malignant hyperthermia...
May 2018: Revista Brasileira de Anestesiologia
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